| NPI | 1992474514 |
|---|---|
| Former Name | KELLY J GLOSTER-FADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 227760) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-06-11 |